Individual provider Active NPI

Tracy Knight, LMSW

  • Clinical Social Worker
  • Mount Vernon, MO
National Provider Identifier
1932553476
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
10233 Issued in CT
Practice address
1001 E Daniel Dr
Mount Vernon, MO 65712-9690
Phone
(417) 476-1013
Fax
(417) 955-6093
NPI assigned
Apr 21, 2016
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 000011 CT
Clinical Social Worker 1041C0700X 10233 CT Primary

Addresses

Primary practice location

1001 E Daniel Dr
Mount Vernon, MO 65712-9690

Mailing address

PO Box 100
Pierce City, MO 65723-2100

Other practice location 1

331 Main St
Norwich, CT 06360
Phone (860) 889-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514001069 MO Practitioner - Clinical Social Worker 9335485580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Community Mental Health CenterGroup PAC ID 8527069277, 25 clinicians

Practice addresses (Care Compare)

1701 N Central Ave
Monett, MO 65708-1144
Phone (417) 235-6610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000011CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clark Community Mental Health Center CurrentSince Apr 1, 2019 Accepting new patients

Locations

1701 Townsend St
Cassville, MO 65625
Phone (417) 671-8075

1701 N Central Ave
Monett, MO 65708
Phone (417) 235-6610

1001 E Daniel Dr
Mount Vernon, MO 65712

104 W Main St
Pierce City, MO 65723
Phone (417) 235-6610

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1932553476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PIERCE CITY",
            "state": "MO",
            "postal_code": "657232100",
            "fax_number": "417-476-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E DANIEL DR",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657129690",
            "telephone_number": "417-476-1013",
            "fax_number": "417-955-6093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Main St",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "06360",
            "country_code": "US",
            "telephone_number": "860-889-8346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "TRACY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "000011",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, MO

Sources for this page

Verify at the official NPI Registry.